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Neurology International, Volume 17, Issue 11

2025 November - 16 articles

Cover Story: Cerebral small vessel disease (cSVD) and vascular cognitive impairment (VCI) are major contributors to stroke and dementia, yet effective treatments are limited. This methodological scoping review of more than 200 clinical trials highlights substantial  variation in study populations, interventions and outcome measures. The findings identified the need for increased standardisation of diagnostic criteria used in trials, greater inclusivity of patients with multimorbidity and greater focus on functional outcomes to improve the generalisability of trial results and accelerate progress toward developing meaningful therapies. View this paper
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Articles (16)

  • Article
  • Open Access
1,423 Views
15 Pages

Unruptured Intracranial Aneurysm Risk Scores Underperform in Predicting Subsequent Rupture: A Retrospective Single-Center Study

  • Kamil Krystkiewicz,
  • Aleksander Kowal,
  • Magdalena Krystkiewicz-Orzechowska,
  • Filip Arczewski,
  • Karol Dziedzic and
  • Marcin Tosik

20 November 2025

Background/Objectives: Risk-stratification tools, including the PHASES, UIATS, and ELAPSS, are commonly used to guide management of incidentally detected unruptured intracranial aneurysms (UIAs), but their predictive accuracy in real-world settings r...

  • Systematic Review
  • Open Access
1,559 Views
25 Pages

Neuromodulatory Effects of Transcranial Pulse Stimulation (TPS) in Neurological and Psychiatric Disorders—A Systematic Review and Meta-Analysis

  • Selma Polte,
  • Larissa Klingmann,
  • Anna Seßmann,
  • Svenja Schwichtenberg,
  • Christoph S. Herrmann,
  • Karsten Witt and
  • Mandy Roheger

18 November 2025

Background: Transcranial pulse stimulation (TPS) is an innovative non-invasive brain stimulation technique using ultrasonic waves. Despite its application in first clinical trials, so far, no systematic overview of its effects across different patien...

  • Case Report
  • Open Access
778 Views
9 Pages

Extracranial Vertebral Artery Dissecting Aneurysm Presenting as Vertebrobasilar Stroke in a Young Adult: Case Report of Flow-Diverter Stenting

  • Maria Angelica-Coronel,
  • Melissa Luque-Llano,
  • Narledis Nuñez-Bravo,
  • Carlos Rebolledo and
  • Ernesto Barceló-Martínez

18 November 2025

Background: Extracranial vertebral artery aneurysms (EVAAs) are exceptionally rare vascular lesions and an uncommon cause of posterior circulation stroke. Their diagnosis is often delayed due to nonspecific symptoms, yet prompt recognition is essenti...

  • Systematic Review
  • Open Access
662 Views
20 Pages

Speed Matters: Challenging the Notion of Velocity-Independent Rigidity Using Technological Devices in People with Parkinson’s Disease: A Systematic Review

  • Roberto Cano-de-la-Cuerda,
  • Cecilia Estrada-Barranco,
  • Patricia Martín-Casas,
  • Selena Marcos-Antón,
  • Rosa María Ortiz-Gutiérrez,
  • Sofía Laguarta-Val and
  • Carmen Jiménez-Antona

17 November 2025

Objectives: The application of well-controlled, quantitative measurement systems has challenged the traditional notion that rigidity in Parkinson’s disease (PD) is a velocity-independent phenomenon. This review aimed to evaluate whether rigidit...

  • Article
  • Open Access
853 Views
13 Pages

Gut Microbiota Affects Mouse Social Behavior via Hippuric Acid Metabolism

  • Momona Tsukui,
  • Sosuke Yagishita,
  • Shinji Tokunaga,
  • Shuji Wakatsuki and
  • Toshiyuki Araki

11 November 2025

Background/Objectives: Autism spectrum disorder (ASD) is a neurodevelopmental disorder typically characterized by impaired social communication. Previous reports have postulated gut microbiota to be an important non-genetic factor affecting ASD-like...

  • Article
  • Open Access
544 Views
12 Pages

11 November 2025

Background/Objectives: Optic neuropathies (ON) are a clinically heterogeneous group of disorders that can cause profound and lasting visual disability, with wide-ranging effects on patients’ quality of life. Although the NEI-VFQ-25 is an instru...

  • Systematic Review
  • Open Access
1,206 Views
17 Pages

8 November 2025

Background: Long-term management of cerebral venous thrombosis (CVT) with rivaroxaban is still under evaluation. The primary objective was to compare the contemporary evidence of the safety and efficacy of rivaroxaban versus warfarin in the long-term...

  • Article
  • Open Access
798 Views
22 Pages

Interaction Between DRD2 rs1076560 Genotype and Stimulant Dependence on Impulsivity and Self-Reported ADHD Traits in Men

  • Milena Lachowicz,
  • Remigiusz Recław,
  • Jolanta Chmielowiec,
  • Krzysztof Chmielowiec,
  • Kinga Łosińska,
  • Dariusz Larysz and
  • Anna Grzywacz

5 November 2025

Background and Objectives: The dopamine D2 receptor (DRD2) plays a central role in fronto-striatal circuits regulating cognitive control and reward processing. The rs1076560 polymorphism alters receptor isoform expression, potentially modifying impul...

  • Systematic Review
  • Open Access
1,771 Views
20 Pages

4 November 2025

Background/Objectives: Cerebral small vessel disease (cSVD) and vascular cognitive impairment (VCI) are major contributors to stroke and dementia. Despite their importance, there are few effective treatments for cSVD and VCI. Variability in cSVD/VCI...

  • Article
  • Open Access
902 Views
22 Pages

The Cognitive Changes Among Patients over 65 Years of Age in a Rural Area—The Preliminary Report of Protective and Predisposing Factors

  • Radoslaw Zachara,
  • Daria Gendosz de Carrillo,
  • Adam Wlaszczuk,
  • Agnieszka Gorzkowska,
  • Wiktoria Mazur and
  • Halina Jedrzejowska-Szypulka

3 November 2025

Background: Aβ1-42 and APOE concentrations, as well as Aβ42/40 ratio, may be considered as a link between hypertension (HTN) or diabetes mellitus (DM), brain amyloidosis, and dementia. HTN and DM are associated with cognitive impairment and...

  • Case Report
  • Open Access
1 Citations
561 Views
10 Pages

Oculomotor Abnormalities in Anti-Glutamic Acid Decarboxylase-Positive Stiff Person Syndrome

  • Pavol Skacik,
  • Jaroslav Petrisin,
  • Kristian Sveda,
  • Monika Turcanova-Koprusakova,
  • Milan Grofik,
  • Stefan Sivak and
  • Egon Kurca

3 November 2025

Background: Antibodies to glutamic acid decarboxylase (anti-GAD) can give rise to stiff person syndrome (SPS), an infrequent autoimmune condition of the central nervous system marked by fluctuating muscular rigidity and stimulus-evoked spasms. Distur...

  • Case Report
  • Open Access
723 Views
9 Pages

Rare Pediatric Posterior Stroke Case Report with Discussion of Brainstem Lesions

  • Lauren A. Gould,
  • Matthew Carman,
  • Gian Rossi and
  • Jasvinder Dhillon

3 November 2025

Introduction: The rates of pediatric ischemic stroke incidence have more than doubled over the past 3–4 decades; however, pediatric posterior circulation strokes are even more uncommon. These rising incidence rates have led to increasing awaren...

  • Article
  • Open Access
966 Views
12 Pages

Blood–Brain Barrier Dysfunction, Edema Formation and Functional Recovery in Ischemic and Hemorrhagic Stroke: A Retrospective Study

  • Christian A. Müller,
  • Jochen A. Sembill,
  • Bernd Kallmünzer,
  • Maximilian Bailer,
  • Ludwig Singer,
  • Tobias Engelhorn,
  • Arnd Dörfler,
  • Stefan Schwab,
  • Stefanie Balk and
  • Maximilian I. Sprügel

1 November 2025

Objectives: We aimed to determine temporal patterns of blood–brain barrier (BBB) dysfunction, edema formation and functional recovery in acute stroke. Materials and Methods: Patients of two observational studies on ischemic and hemorrhagic stro...

  • Article
  • Open Access
2 Citations
2,517 Views
34 Pages

1 November 2025

Background: Ischemic stroke (IS) remains a leading global cause of mortality, recurrence, and long-term disability, with survivors also at risk of post-stroke dementia (PSD) and cognitive impairment (PSCI). The precise impact of statin therapy across...

  • Review
  • Open Access
1 Citations
2,049 Views
17 Pages

29 October 2025

Introduction: Stroke is one of the leading causes of death and disability worldwide. In this context, early activation of the Stroke Code and a structured neurorehabilitation approach are key determinants of patients’ functional outcomes. Objec...

  • Article
  • Open Access
1,019 Views
15 Pages

22 October 2025

Background: Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system, which can lead to physical and cognitive disability, fatigue, depression, and sleep disturbance, all of which may impair quality of life (QoL). While...

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Neurol. Int. - ISSN 2035-8377